Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $329.88 / $589.40	Facility		$175.94	$329.88	$589.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $175.94 / $219.04	Professional		$175.94	$175.94	$219.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $37.50 / $2,168.73	Facility		$12.80	$37.50	$2,168.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $11.21 / $261.41	Professional		$2.66	$11.21	$261.41
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $178.99 / $183.96	Professional		$178.99	$178.99	$183.96
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $194.44	Professional		$183.26	$183.26	$194.44